Senior Account Executive - Pharmacy

Responsibilities

• Oversees the servicing of a designated book of business.
• Manage day to day issues related to clients’ pharmacy plans and assist team members in closing out open items.
• Develop and distribute RFP’s – market and spread results; coordinating vendor responses, analysis and comparison of RFP responses and preparation of client reports with recommendations.
• Work collaboratively with PBMs to collect pharmacy data, ensuring reporting is accurate, timely, and of high quality.
• Develop financial models and reports for clients and more senior staff, provide interpretation and implication of analysis, as well as recommendations.
• Provide assistance in strategic planning and consulting advice to internal and external clients.
• Ensures client projects are completed timely.
• Interpret clients’ current pharmacy programs and identify/recommend gaps, alternatives, additional plan design changes, etc.
• Manage the review and accuracy of all vendor agreements and/or documents and/or plan/policy documents related to best in class terms/provisions.
• Develop an implementation or project plan with client and serve as primary lead on PBM implementation calls and meetings.
• Attend evening and lunch events with clients to build and strengthen on-going relationships.
• Attendance at internal meetings/educational programs.

Qualifications

• Bachelor’s Degree in a business-related field is required.
• Minimum 8 to 10 years’ experience in the industry, specifically experience in PBMs or like.
• Strong customer service skills with the ability to develop strong client relationships with multiple clients.
• A firm working knowledge of welfare benefits in multiple product lines (i.e. medical, dental, life, AD&D, disability) and a basic understanding of risk and insurance.
• Excellent computer skills; must have the ability to manipulate large spreadsheets, census data, disruption, geo-access, benchmarking data, etc.
• Must have mathematical/technical expertise in managing and reporting monthly claim tracking results and observations.
• Strong client-facing communication skills with the ability to collaborate alongside consultants to review action items, address vendor-related issues, interpret root cause analyses, and clearly articulate next-step solutions.
• Strong working knowledge of differing financial arrangements and products available to clients including self-funded.
• Excellent organizational and communication skills.
• Proven critical thinking and problem-solving skills.
• Must be available for travel.
• Legal right to work in the United States.